Objective To explore the dynamic changes and correlation of self-acceptance and automatic thoughts in permanent colostomy patients. Methods There were 89 low position rectal cancer patients after Miles and permanent colostomy were recruited from the Department of Oncological Surgery of the First Affiliated Hospital of Xi'an Jiaotong UniversityfromFebruary 2016 to October 2016. Self-acceptance Questionnaire and Automatic Thoughts Questionnaire were used to collect data in 1 month, 3 months, 6 months and 12 months after colostomy. Results The self-acceptance scores were 33.64 ± 5.52, 33.24 ± 5.71, 34.56 ± 6.04 and 38.91 ± 6.33 respectively, which had significant differences (F=11.012, P<0.01). The automatic thoughts scores were 63.20 ± 16.78, 60.88 ± 16.53, 58.64 ± 15.87 and 55.32 ± 14.76 respectively, which had significant differences (F=3.462, P<0.05). The correlation between self-acceptance and automatic thoughts were-0.576--0.372, which were all significant (P<0.01). Conclusion There were negative correlations between self-acceptance and automatic thoughts in permanent colostomy patients within 1 year after operation. Health professionals should learn to identify patients′automatic thoughts accurately, lead off negative emotions, promote early self-acceptance and improve their quality of life.

Objective To explore the subjective sleep quality and mental resilience in colorectal cancer patients during the treatment period. Methods A total of 72 colorectal cancer patients undergoing chemotherapy from May to September 2016 in First Affiliated Hospital of Xi'an Jiaotong University were selected by convenience sampling method. Pittsburgh sleep quality index (PSQI) and Conner-Davidson Resilience Scale (CD-RISC) were applied to investigate patients' sleep quality and mental resilience before discharge, and at the 1st month, 3rd month and 6th month of the chemotherapy. Single factor repeated measurement analysis of variance was applied to compare the difference between sleep quality score and mental resilience score, and Pearson correlation coefficient was used to analyze the correlation between them. Results The PSQI scores at the 4 follow-up time points were (9.43±4.26), (9.02±3.68), (7.58±4.01) and (6.16±3.22), and the difference was statistically significant (F=9.861,P<0.05). The CD-RISC scores at the 4 follow-up time points were (60.13±15.80), (66.56±16.17), (69.82±17.46) and (73.03±17.85), and the difference was statistically significant (F=7.681,P<0.05). The difference of PSQI scores of patients in different age groups was statistically significant (F=2.792,P< 0.05), and the differences of CD-RISC in patients with different education degree and in different cancer stages were statistically significant (F=3.321,3.534;P<0.05). There were a negative correlations between sleep quality and mental resilience at the each time point (r=-0.32--0.53;P<0.05). The CD-RISC score of the patients with early stage sleep disturbances was lower than that of non-sleep disturbances patients at each time point (P< 0.05). Conclusions Health professionals should pay close attention to the sleep status of colorectal cancer patients at the early stage of treatment, and take appropriate interventions to improve the quality of life and resilience development.

Objective:To develop the Peristome Skin Injury Risk Assessment Scale and to verify its reliability, validity and predictive performance in patients with colorectal cancer stoma.Methods:The initial assessment scale was developed through literature review and Delphi expert consultation. From February 2020 to April 2021, convenient sampling was used to select 290 cases of colorectal cancer stoma patients who were reexamined in the Oncology Surgery of the First Affiliated Hospital of Xi'an Jiaotong University as the research object. Item analysis, validity analysis, reliability analysis, receiver operating characteristic curve (ROC) were used to test the reliability, validity and predictive performance of the scale.Results:Exploratory factor analysis extracted a total of 4 common factors, namely general condition, stoma condition, postoperative condition, education and self-care condition, a total of 17 items, and the cumulative variance contribution rate was 85.144%. The scale-level content validity index was 0.941, and the item-level content validity index was 0.857 to 1.000. The Cronbach's α coefficient of the total scale was 0.824, the split-half reliability coefficient was 0.837, and the test-retest reliability coefficient was 0.819. There was a statistically significant difference in the scores of the Peristome Skin Injury Risk Assessment Scale in patients with colorectal cancer stoma between the injury group and the non-injury group ( P<0.05) . The area under the ROC curve was 0.838 (95% confidence interval: 0.785-0.891) . When the cut-off score was 39.5, the sensitivity of the scale was 0.849, the specificity was 0.759, the Youden index was 0.608, and the predictive performance was the best. Conclusions:The Peristome Skin Injury Risk Assessment Scale has good reliability and validity, and has high predictive performance, which is suitable for the assessment of the risk of peristome skin injury in patients with colorectal cancer in China.

To analyze the psychological experience of close contacts with COVID-19 during the centralized isolation medical observation (centralized isolation for short) period, 17 close contacts of COVID-19 who received medical isolation observation at designated locations in a city of China were selected by purposive sampling using qualitative study methods, and the interviewees were interviewed by full-coverage structured telephone. By analyzing the obtained data and summarizing the themes, it was found that the psychological status of the COVID-19 close contacts during the centralized isolation period could be classified into three themes: obvious negative emotions, somatization of psychological problems, and demand for social support. During the epidemic, when close contacts were quarantined as high-risk groups, they often had complex and difficult psychological experiences. Relevant departments should actively carry out online guidance channels and offline knowledge dissemination, actively conduct psychological interventions for close contacts, assist them to develop life plans to enrich the life of the centralized isolation period. At the same time, relevant departments should do a good job in logistics and life support services, create a comfortable isolated living environment, and effectively relieve the negative emotions of close contacts of COVID-19 during centralized isolation through a variety of positive and effective measures to ensure physical and mental health.